Organization
KIDS FIRST PEDIATRIC URGENT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKEVA BENA CASEY CRNP (OWNER)
(256) 702-3981
Entity
Organization
Contact information
Practice address
2530 FLORENCE BLVD STE D, FLORENCE, AL 35630-2807
(256) 802-1500
Mailing address
PO BOX 2874, FLORENCE, AL 35630-0022
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-130759
LICENSE
AL
Enumeration date
01/24/2020
Last updated
07/09/2020
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